Organization
UNIVERSITY FOOT AND ANKLE CENTER LLC
Active
Other names
Louisville Foot and Ankle Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WAYNE CHILDRESS DPM (OWNER)
(502) 893-1844
Entity
Organization
Contact information
Practice address
3 AUDUBON PLAZA DR STE 320, LOUISVILLE, KY 40217-1319
(502) 893-1844
Mailing address
3 AUDUBON PLAZA DR STE 320, LOUISVILLE, KY 40217-1319
(502) 893-1844
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
00209
KY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100000180
—
KY
05
—
7100439680
—
KY
Enumeration date
11/02/2006
Last updated
02/04/2020
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